CAJ | 학술논문

目的：探讨亚低温治疗急性脑出血的临床疗效。方法：2010年2月-2014年2月收治急性脑出血患者112例，按入院顺序分为观察组和对照组，各56例。两组均给予常规药物治疗，观察组在此基础上采用亚低温联合治疗。对比治疗后两组临床症状改善情况、格拉斯昏迷程度评分(GCS)、神经功能缺损程度评分(ESS)。结果：治疗后两组症状均有所改善，但观察组较对照组改善明显，差异有统计学意义(P＜0.05)；治疗前两组GCS、ESS评分无显著差异，治疗30 d后观察组评分均优于对照组，差异有统计学意义(P＜0.05)。结论：亚低温治疗较常规药物治疗能有效改善急性脑出血患者的临床症状，有效缓解患者昏迷及神经功能损伤，减少意识障碍持续时间，提高出院后生活能力。
목적：탐토아저온치료급성뇌출혈적림상료효。방법：2010년2월-2014년2월수치급성뇌출혈환자112례，안입원순서분위관찰조화대조조，각56례。량조균급여상규약물치료，관찰조재차기출상채용아저온연합치료。대비치료후량조림상증상개선정황、격랍사혼미정도평분(GCS)、신경공능결손정도평분(ESS)。결과：치료후량조증상균유소개선，단관찰조교대조조개선명현，차이유통계학의의(P＜0.05)；치료전량조GCS、ESS평분무현저차이，치료30 d후관찰조평분균우우대조조，차이유통계학의의(P＜0.05)。결론：아저온치료교상규약물치료능유효개선급성뇌출혈환자적림상증상，유효완해환자혼미급신경공능손상，감소의식장애지속시간，제고출원후생활능력。
Objective:To explore the clinical effect of mild hypothermia on acute cerebral hemorrhage.Methods:112 cases with acute cerebral hemorrhage were selected from February 2010 to February 2014.They were divided into the observation group and the control group with 56 cases in each group according to the order of admission.The two groups were given routine therapy,and the observation group were treated with mild hypothermia therapy on the basis of that.We compared the improvement of clinical symptoms,glass coma score(GCS),neural function defect score(ESS) after treatment of the two groups.Results:After treatment, symptoms of two groups were improved,but the observation group was better than the control group.The difference was statistically significant(P<0.05).Before treatment,there was no significant difference between two groups in GCS,ESS score.30 days after treatment,the observation group was superior to the control group,and the difference was statistically significant(P<0.05). Conclusion:Compared with conventional drug therapy,mild hypothermia therapy can effectively improve the clinical symptoms in patients with acute cerebral hemorrhage,relieve the coma and nerve function injury,reduce the duration of disturbance of consciousness,and improve the ability of life.